Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL J. BOLAR, M.D.
ActiveRANDALL J. BOLAR, M.D. is a General Surgery healthcare provider located in DETROIT LAKES, Minnesota. NPI 1558323246 is currently active in the NPPES registry. Verify at CMS.
General Surgery · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1558323246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.336513593095 yrs)
- Last Updated
- Dec 23, 2015
- Licenses
-
34949 (TN)36945 (MN)
Practice Information
- Address
-
1027 WASHINGTON AVEDETROIT LAKES, MN, 565013409Browse MN providers · Browse ZIP 56501
- Phone
- 2188475611
- Fax
- 2188470881
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| MANUEL R. MORAN | M.D. | 1811965775 |
| GEORGE A PORTILLA | MD | 1245287010 |
| MITCHELL B GOLDSTEIN | MD | 1497773030 |
| SHANG-YEE S YEH | MD | 1619752060 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.